REDACTED - FOR AGENDA ATTACHMENT - FRED LEWIS LP.PDF

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MARICOPA COUNTY

TREASURER’S OFFICE

John M, Allen, Treasurer
301 West Jefferson St., Rm. 100
Phoenix, Arizona 85003

Phone: (602) 506-8511

Fax: (602) 506-1102
http://treasurer.maricopa.gov

To:

Clerk of the Board
clerk.agenda@maricopa.gov
Dorene.Stretar@Maricopa.Gov

From: Treasurer's Office

Maria Quitangon \o~
maria.quitangon@maricopa. gov
602-506-1958

Cathy Sanchez C9
cathy.sanchez@maricopa.gov
602-506-7881

Re: Stale Dated Warrant

Name Warrant Amount Dept/School
No
Fred Lewis LP 934479 $1,599.92 | Treasurer

Application for a Duplicate or Stale-Dated Warrant/Check

Affidavit/Claim Form

This application is for: Ol Duplicate or Stale-Dated (definitions are on page 2)

STATE OF ARIZONA Note: Numbers on this form correspond to numbers on the
COUNTY OF MARICOPA Instruction sheet which is page 2 of this form.

Fred Lewis LP

Name/Claimant

10/12/2
On or about omeret (date)(2) a warrant/check was issued to the

above named person/entity in the amount as stated below. Such warrant/check was
either never received or was subsequently inadvertently lost or destroyed and there is
no reasonable probability of its being found or presented for payment, or it was not
presented for payment within one year after the date of issuance.

(1), being first sworn, upon oath deposes and says:

Therefore, under penalty of perjury, claimant hereby affirms that this claim is correct
and the amount shown is due and owing, and the applicant requests that a replacement

warrant/check be issued to him/her in the sum of g2199.92 (3)
Signed: Chidterhon Ce. (4)

Print name: (required) Christopher Chinloy

Note. Please attach a copy of the warrant/check if available and/or any other
evidence that a warrant/check was originally issued.

(5) “i, and sworn to before me this_4\b___day of Augwot- 2024 |

call (0

NOTARY PUBLIC" |

KAZEEM LAGBAJA
Notary Public

Commonweaith of Virginia

My commission expires: oY Registration No. 7063023

|| 202}

aay Commission Expires Apr 20; 2027 (seal)
Warrant/Check Number {934479
{if known) (6)
Original Date of Issue 10/12/21 RECEIVED
(if. known) (7)
oo AU 220i
Reason for original issue of Warrant/Check (8):
(1 Payroll MARICOPA COUNTY
TREASURER
(1 For Services or Goods furnished
fs Treasurer's refund/payment
{1 Other:
S:\PROCESSES\Warrants - Duplicate or Stale\02 Forms\Current Claim Form\100518 Warrants Checks notice of claim.doe
Revised 100518 A.R.S, 11-632 & 11-644
Verified!

Bl2al23~AB-
ye

GEORGIA GEORGIA SECRETARY OF STATE

CORPORATIONS DIVISION BRAD RAFFENSPERGER
HOME (/)
BUSINESS SEARCH [
BUSINESS INFORMATION
Business Name: FRED LEWIS, LP Control Number: 10033603
Business Type: Foreign Limited Partnership Business Status: Inactive

Business Purpose: NONE

Jurisdiction: Delaware Last Annual Registration Year: 2011
Principal Record Address: NONE

REGISTERED AGENT INFORMATION

Registered Agent Name: PRA SOUTHEAST LLC

County: NONE

GENERAL PARTNER INFORMATION

Name Title Business Address
CHRISTOPHER CHINLOY General Partner
PETER CHINLOY General Partner

Office of the Georgia Secretary of State Attn: 2 MLK, Jr. Dr. Suite 313, Floyd West Tower Atlanta, GA 30334-1530, Phone: (404) 656-2817 Toll-free: (844) 753-
Back Filing History 7825 NAEBSHERKtps: SBS YSN O Business Search
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&. Refund ID 2021023810 CP_BUYER
File Help

sir

RelundAmount [$1,589.92

Refund Reason: {cr Redemption refund

Requester: |PRESLEY.RINCON on 10/1120:

[DISBURSED on 10/12/2021
{202100761

Status:

Slip 10:

Address: FRED LEWIS LP

Impounds | stub | Comments |

Souree Fund | Linked | Amount | Tax Year | Statu
oso True $1,599.92 2019 REAL
< >

Impound Total: 1

Check Request [MAIL

[cP 19014573

Reference #;

‘Imp ound #1
Patcel/Roll 208-771-488 Dest fund : {oso
cP a: Abe

EP buyer H [12483 ~ Phase B: [6

Mortgage code: [7
Transaction #: [09801723 —
Case t:

Bi

Buyer Number [72453 Buyer Cade: i. SSN:

Name/Address

Copy
Name/Address
} Outstanding {" Redeemed {~ Expired [7 Extinquished
IRS Form Type jws
CP. List CP Number | Parcel Number | # of Years | Status “
{9008628 10228275 1 Outstanding
22002370 10228275 1 Culstanding
21002270 11026047 j Outstanding
22002371 171026041 ] Gutstanding
20010266 11918014 | Dutstanding
21002271 11918011 1 Gutstanding
22002372 V1STSO1T 1 Outstanding
21002272 119290058 1 Dutstanding
22002373 119290058 i Outstanding
13010638 42033062C 1 Outstanding
21002273 120330620 1 Outstanding
22002374 12033062C 1 Outstanding
19011224 13138116 1 Butstanding
21002276 13135116 | Outstanding ¥
< >

Number of C.P.'s Displayed: 54

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